The New Jersey Childhood Obesity Study, funded by the Robert Wood Johnson Foundation, aims to provide vital information for planning, implementing and evaluating interventions aimed at preventing childhood obesity in five New Jersey municipalities: Camden, Newark, New Brunswick, Trenton, and Vineland.
These five communities are being supported by RWJF's New Jersey Partnership for Healthy Kids program to plan and implement policy and environmental change strategies to prevent childhood obesity.
Effective interventions for addressing childhood obesity require community-specific information on who is most at risk and on contributing factors that can be addressed through tailored interventions that meet the needs of the community.
Using a comprehensive research study, the Center for State Health Policy at Rutgers University is working collaboratively with the State Program Office for New Jersey Partnership for Healthy I<ids and the five communities to address these information needs. The main components of the study include:
• A household survey of 1700 families with 3 -18 year old children
• De-identified heights and weights data from public school districts
• Assessment of the food and physical activity environments using objective data
Data books and maps based on the results of the study are being shared with the community coalitions in the five communities to help them plan their interventions.
Frequent consumption of fruits and vegetables has been linked to better dietary quality and positive health outcomes. Unfortunately, fruit and vegetable consumption among elementary school children falls far short of the recommendations. Therefore, finding strategies to promote fruit and vegetable consumption in children is a public health priority. One such strategy is the United States Department of Agriculture’s (USDA) Fresh Fruit and Vegetable Program (FFVP), which provides fresh fruits and vegetables as snacks, at least twice per week, in elementary schools with high student enrollment from low-income households. The program aims to expand the variety of fruits and vegetables children experience, impacting their present and future health outcomes. Another USDA initiative, the Supplemental Nutrition Assistance Program Education (SNAP-Ed), offered in community and school settings, aims to improve the likelihood that SNAP eligible individuals will make healthy food choices consistent with the Dietary Guidelines for Americans. SNAP-Ed is a potential resource for FFVP schools, providing nutrition education, staff training, and promotional materials.
Beginning in March 2020, the COVID-19 pandemic triggered a sudden and severe economic downturn and led to disruptions in domestic and international food systems and supply chains. Over the first few months of the pandemic, in the United States, many stores had empty shelves, bars and restaurants closed, and children could no longer go to school. The unemployment rate increased from 3.5% in February 2020 to 14.8% in April 2020, leading to economic instability for many households. As a result, household food insecurity, defined as having limited or inconsistent access to nutritious and affordable food, increased rapidly.
During the first months of 2021, vaccinations began rolling out, more individuals returned to in-person work, children to schools, and restrictions were gradually phased out. Unemployment has decreased since the April 2020 peak to 5.4% in July 2021, but remains above pre-pandemic levels. This brief describes the prevalence of household food insecurity, job disruptions, and food-related behaviors as reported by a nationally representative sample of 1,643 U.S. adults, both in the year prior to the COVID-19 pandemic (March 2019 – March 2020) and during the first four months of 2021 (January – April 2021), a period representing approximately one year since the onset of the pandemic.
Objectives: Conflicting findings on associations between food and physical activity (PA) environments and children's weight status demand attention in order to inform effective interventions. We assess relationships between the food and PA environments in inner-city neighborhoods and children's weight status and address sources of conflicting results of prior research.
Methods: Weight status of children ages 3-18 was assessed using parent-measured heights and weights. Data were collected from 702 children living in four low-income cities in New Jersey between 2009 and 2010. Proximity of a child's residence to a variety of food and PA outlets was measured in multiple ways using geo-coded data. Multivariate analyses assessed the association between measures of proximity and weight status.
Results: Significant associations were observed between children's weight status and proximity to convenience stores in the 1/4 mile radius (OR = 1.9) and with presence of a large park in the 1/2 mile radius (OR = 0.41). No associations were observed for other types of food and PA outlets.
Conclusions: Specific aspects of the food and PA environments are predictors of overweight and obese status among children, but the relationships and their detection are dependent upon aspects of the geospatial landscape of each community.